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CHAIN OF CUSTODY/LABORA10Y ANALYSIS REQUEST FORM Page AD_ <br /> P.O.# San Joaquin County P.O.#21356 <br /> Sh�a:W® 180 Promenade Circle Suite 320 Sacramento CA 95834 Lab: BC Labs,Bakersfield <br /> Project Name: North County LF,San Joaquin County Analysis Requested <br /> 1st Qtr 2012 Lysimeters <br /> Project Number: 139874 0 <br /> Report to: Sheila Richgels o <br /> <Sheila.Richgels@Shawgrp.com> N o� b <br /> cc Report: Jody Rhoades(916-565-4362) 0 00 <br /> <jody.rhoades@shawgrp.com> U p�, w Q z <br /> 0 W p o-0 4+ <br /> o lin t� � b - <br /> Nan w <br /> Sampler's Signature: p r" Cd <br /> Q V z REMARKS <br /> Sample 2012 LAB Sample VOA s 0 P PE 0 E 250 LPE 500 LPE Container Types <br /> I.D. Date Tune I.D. Matrix HCl xNO3 H2SO4 HNos Preservations <br /> VZ-01 water 1 1 1 1 <br /> VZ-02A/B a 8 /3 1 1 1 1 1 <br /> VZ-03A/B t 8 3 1 1 1 1 <br /> VZ-04A/B ester 8 3 1 1 1 1 <br /> VZ-05A/B water 8 3 1 1 1 1 <br /> VZ-06 water 8 3 1 1 1 1 1 <br /> VZ-07 water 8 3 1 1 1 1 1 <br /> VZ-08 water 8 3 11 1 1 1 1 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signature Signature Signature Signature 24 hr _48 hr 5 day II. Report(includes DUP,MS <br /> X Standard(-10-15 working days) MSD,as required,may be <br /> Printed Name Printed Name Printed Name Printed Name Provide verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results M.Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental X RWQCB <br /> Date/Time Datefrime Date/Time Date/Time (MDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> Report MDLs,PQLs,and Trace. BC Labs-Tina Green 40 ml VOA: 1 <br /> Signature Signature Nitrate-Nitrogen has a 48-hr hold. 4100 Atlas Court 250 mi LPE: 2 <br /> Bakersfield,Ca 93308 500 ml LPE: 3 <br /> Printed Name Printed Name 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Firm I liter glass: 6 <br /> EDDs to<susan.waterman@shawgrp.com> 2x6 s/s ring: 7 <br /> Date/Time Date/Time glass jar: 8 <br />